<!--顶部-->
<block name="include"><include file="Index:top" /></block>
<!--顶部-->
<!--==============================
              header
=================================-->
<!--=====================
          Content
======================-->
<style type="text/css">
    .form-group{
        opacity: 0.7;
    }
</style>
  <div class="container">
  <div class="row text-center"> <img src="/tpl/static/agentpay/Public/images/11.png" alt=""></div>
   

    <p class="text-center" style="color:red">等你约(北京)科技有限公司</p>
       <p class="text-center">
        <small style="">请填写您的信息</small>
      </p>


      <form action="{:U('Index/info', array('token'=>$token, 'wecha_id'=>$wecha_id))}" method="post" id="info">
      <div class="form-group">
          <label for="exampleInputEmail1">公司名称</label>
          <input type="text" name="company" class="form-control company" id="exampleInputEmail1" placeholder="公司名称">
      </div>
      <div class="form-group">
          <label for="exampleInputEmail1">代理商姓名</label>
          <input type="text" name="name" class="form-control name" id="exampleInputEmail1" placeholder="姓名">
      </div>

          <div class="form-group">
              <label for="exampleInputEmail1">详细地址</label>
              <input type="text" name="address" class="form-control name" id="exampleInputEmail1" placeholder="详细地址">
          </div>

      <div class="form-group">
          <label for="exampleInputEmail1">联系电话</label>
          <input type="text" name="phone" class="form-control tel" id="exampleInputEmail1" placeholder="联系电话">
      </div>
          <div class="row">
              <div class="col-md-12">
                  <p>
                      <button type="submit" id="next" class="btn btn-primary btn-lg btn-block">下一步</button>
                  </p>
              </div>
          </div>
          <!--<div class="col-md-12">-->
              <!--<p>-->
                  <!--<input type="hidden" name="token" value="{pigcms:$token}"/>-->
                  <!--<input type="hidden" name="openid" value="{pigcms:$openid}"/>-->
                  <!--<input type="hidden" name="cityid" value="{pigcms:$id}"/>-->
              <!--<p>-->

                  <!--<button type="submit" id="next" class="btn btn-default-->
              <!--btn-lg btn-block" style="height:35px;opacity: 0.7;">下一步</button>-->

          <!--</div>-->
      </form>
  </div>

</section>
<script type="text/javascript">
    $(function(){
        $("#next").click(function(){
            var company=$("#info .company").val();
            var name=$("#info .name").val();
            var tel=$("#info .tel").val();
            var address=$("#info .tel").val();
            if(company==""||company==" "){
                alert("请填写商家信息!");
                return false;
            }else if(name==""||name==" "){
                alert("请填代理商姓名!");
                return false;
            }else if(tel==""||tel==" "){
                alert("请填写您的手机号码!");
                return false;
            }else if(address==""||address==" "){
                alert("请填写您的详细地址");
                return false;
            }else{
                return true;
            }

        });

    });
</script>

<!--==============================
              footer
=================================-->


<block name="include"><include file="Index:foot"/></block>